Question 1 of 5.

Extract:The wound care nurse is caring for a client at the outpatient clinic Item 1 of 1 Nurses' Notes Medical History 1300 - Client presents to the clinic on a referral from the primary healthcare provider for a wound to the right ankle area. The injury developed three months ago and has worsened despite topical treatment. On assessment, the wound is 5 cm x 4 cm and is shallow. The wound bed is pink with some granulation tissue; scant sanguineous drainage. Wound edges are uneven. Client reports pain only when dressing changes are performed, and the pain is rated as 5 on a scale of 0 (no pain) to 10 (severe pain). The surrounding skin on the affected foot is dry, darkened, and flaky. Capillary refill < 3 seconds. Peripheral pedal pulse 2+ on the affected foot. 3+ Ankle edema was noted in both lower extremities. The client denies leg pain during ambulation but endorses ankle swelling during the day while walking, and the only relieving factor is the application of a compression hose to both legs. The client reports applying a hot compress to the extremity but states after 2-3 applications, it worsened and became painful.

For each assessment finding below, click to specify if the finding is consistent with an arterial, venous, or diabetic ulcer. Each finding may support more than one (1) disease process.

Question 2 of 5.

Extract:The emergency department (ED) nurse is caring for a client who sustained a witnessed electrical burn Item 1 of 1 Triage Note Triage Vital Signs 1730: A 35-year-old male was brought to the emergency department (ED) by his father after they were working on electrical wiring at a residential house. The client's father witnessed his son grab a wire and sustain a significant 'jolt' for five to ten seconds. The client briefly lost consciousness and was disoriented immediately afterward. The client was immediately placed in the father's car and transported to the ED. A localized burn was noted on the client's right hand. Scant sanguineous drainage noted. The client reports pain of a '6' (0= no pain; 10= severe pain) that is worsened with movement. The client is alert and oriented to place and time; however, he does not recall the situation that brought him to the hospital. Glasgow Coma Scale (GCS) 14. The client reports that he feels like his 'heart is intermittently skipping.'

The nurse is immediately concerned that the client is at risk for developing …………….. as evidenced by the client's ………………

Question 3 of 5.

A nurse is taking care of a client with severe burns. Which of the following is the best intervention to prevent shock in this client?

Question 4 of 5.

The ABCDEs of melanoma identification include which of the following? Select all that apply.

Question 5 of 5.

The nurse is conducting a community health class on skin changes for older adults. It would be appropriate for the nurse to state which of the following are normal age-related changes? Select all that apply.